Organization
PARAMOUNT PAIN MAMANGEMENT & THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASADUQ AHMED (OWNER)
(313) 429-3032
Entity
Organization
Contact information
Practice address
14710 W WARREN AVE STE B, DEARBORN, MI 48126-1347
(313) 429-3032
Mailing address
14710 W WARREN AVE STE B, DEARBORN, MI 48126-1347
(313) 429-3032
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
07/23/2018
Last updated
07/23/2018
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